Beckmann Nicholas M, Chinapuvvula Naga R
Department of Diagnostic and Interventional Imaging, Memorial Hermann, Houston, TX, USA.
Department of Diagnostic and Interventional Imaging, McGovern Medical School, The University of Texas Health Science Center at Houston, 6431 Fannin Street, 2.130B, Houston, TX, 77030, USA.
Emerg Radiol. 2017 Dec;24(6):605-617. doi: 10.1007/s10140-017-1533-3. Epub 2017 Jun 27.
Sacral fractures are a common component of pelvic fracture patterns and are an increasingly diagnosed injury both due to increased utilization of CT in trauma evaluation as well as an increasing rate of sacral fragility fractures as a result of an increase in general population age. Innovations in minimally invasive surgical techniques have also resulted in an increasing number of sacral fractures undergoing surgical management. It is vital that physicians practicing in an emergency setting are aware of the injury patterns and management of this increasingly injured and treated component of the bony pelvis. This article reviews the sacral anatomy as well as discusses the role of imaging and imaging appearance of sacral fractures. Sacral fracture patterns are described along with both historic and newer classification systems for sacral fractures and current management of sacral fracture.
骶骨骨折是骨盆骨折类型的常见组成部分，由于CT在创伤评估中的应用增加以及随着总体人群年龄增长骶骨脆性骨折发生率上升，骶骨骨折的诊断越来越多。微创外科技术的创新也导致接受手术治疗的骶骨骨折数量增加。在急诊环境中执业的医生必须了解骨盆这一受伤和治疗日益增多的组成部分的损伤模式及处理方法。本文回顾了骶骨解剖结构，并讨论了骶骨骨折的影像学作用及影像学表现。文中描述了骶骨骨折类型，以及骶骨骨折的传统和新分类系统及骶骨骨折的当前处理方法。
